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DR. ROBERT B AUSTIN O.D.
NPI 1659372696
Optometrist in Vergennes, VT

Active since August 01, 2005PECOS EnrolledAccepts Medicare Assignment
27 MAIN ST, VERGENNES, VT 05491(802) 877-2422(802) 877-1124 Get Directions Write a Review

NPPES record last updated: August 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Robert B Austin O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROBERT B AUSTIN O.D. (NPI 1659372696) is an individual optometrist in Vergennes, Vermont, licensed in Vermont (0300000292) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (1995).

NPPES Registry Identity

NPI1659372696
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ROBERT B AUSTINCredential: O.D.
Location Address27 MAIN STVergennes, VT 05491-1113
Mailing AddressP.o. Box 174, 27 Main StVergennes, VT 05491-0174 · (802) 877-2422 · Fax (802) 877-1124
Phone(802) 877-2422
Fax(802) 877-1124
Sole ProprietorYes
Medical School CMSState University Of New York - State College OptometryGraduated 1995
Enumeration DateAugust 1, 2005
Last NPPES UpdateAugust 22, 2011
✔ NPI 1659372696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in VT · 0300000292✔ Licensed in NY · 56-005641
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
27 MAIN ST, Vergennes, VT 05491
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Other Identifiers 13

Medicare UPINU59331
Medicaid1013521VT
OtherRA1824NY · Upstate New York Medicare
Other781269NY · Mvp
Medicaid01610168NY
OtherP00078950NY · Railroad Medicare
Other000499771002NY · Blue Shield Of Ne Ny
Other3002410VT · Mvp
Other00059239VT · Bluecross Blueshield Of Vermont
Other42951NY · Davis Vision
Other367NY · Davis Vision
Other9475823VT · Cigna
Medicare PINPTAN0001951VT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Robert B Austin O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840285078
PECOS Enrollment IDI20070808000580
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
196 services194 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
68 services58 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
46 services46 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
38 services38 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
15 services15 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05491 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.71 typical visit price
range $55.80 – $168.48
Typical copayment $31.92 (range $13.95 – $42.12)
Most-billed visit code 99204
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%25 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELVIN W SIMMONS O.D.
Optometrist
27 MAIN ST
VERGENNES, VT 05491
Addison County (802) 877-2422
SPECIALEYES PROFESSIONAL EYE CARE SERVICES, PLLC
Optometrist
27 MAIN ST
VERGENNES, VT 05491
Addison County (802) 877-2422

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Austin's NPI number?

The NPI number for Robert Austin is 1659372696. It was assigned to this individual provider in the NPPES registry on August 1, 2005.

Where is Robert Austin located?

Robert Austin practices at 27 Main St, Vergennes, VT 05491. The listed phone number is (802) 877-2422.

What is Robert Austin's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Robert Austin enrolled in Medicare?

Yes. Robert Austin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Robert Austin accept?

Health plans from Providence Health Plan list Robert Austin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Robert Austin was last updated on August 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.